Skin and core temperatures as determinants of heat production and heat loss in the goat

Interdependency of Core Temperature and Glabrous Skin Blood Flow in Human Thermoregulation Function: A Pilot Study

Human thermoregulation is governed by a complex, nonlinear feedback control system. The system consists of thermoreceptors, a controller, and effector mechanisms for heat exchange that coordinate to maintain a central core temperature. A principal route for heat flow between the core and the environment is via convective circulation of blood to arteriovenous anastomoses located in glabrous skin of the hands and feet. This paper presents new human experimental data for thermoregulatory control behavior along with a coupled, detailed control system model specific to the interdependent actions of core temperature and glabrous skin blood flow (GSBF) under defined transient environmental thermal stress. The model was tuned by a nonlinear least-squared curve fitting algorithm to optimally fit the experimental data. Transient GSBF in the model is influenced by core temperature, nonglabrous skin temperature, and the application of selective thermal stimulation. The core temperature in the model is influenced by integrated heat transfer across the nonglabrous body surface and GSBF. Thus, there is a strong cross-coupling between GSBF and core temperature in thermoregulatory function. Both variables include a projection term in the model based on the average rates of their change. Six subjects each completed two thermal protocols to generate data to which the common model was fit. The model coefficients were unique to each of the twelve data sets but produced an excellent agreement between the model and experimental data for the individual trials. The strong match between the model and data confirms the mathematical structure of the control algorithm.

Peripheral thermoreceptors in innocuous temperature detection

The mammalian skin is innervated by cold-sensitive afferent neurons. These neurons exhibit ongoing activity at temperatures between ~10 and 42°C, are activated by innocuous cold stimuli, inhibited by warm stimuli and are mechanoinsensitive. Their axons are small-diameter myelinated (Aδ-) fibers in primates and unmyelinated (C-) fibers in nonprimate mammals. The mammalian skin is innervated by warm-sensitive afferent neurons. The density of innervation by these neurons is lower than that by cold-sensitive afferents. They exhibit ongoing activity between ~38 and 48°C, are activated by warm stimuli, inhibited by cold stimuli, and are mechanoinsensitive. Their axons are unmyelinated (C-) fibers. Cold-sensitive unmyelinated afferent neurons exhibit prominent cold sensitivity of their axons (in rats). The discharge pattern of the cutaneous cold-sensitive afferent neurons is fully preserved after nerve injury. Ongoing impulse activity and cold-evoked impulses originate ectopically at the nerve injury site. Deep somatic tissues and viscera are innervated by thermosensitive afferent neurons. Most are warm-sensitive and mechanoinsensitive and have unmyelinated axons. These afferent neurons have only rarely and incompletely been studied, e.g., in the upper gastrointestinal tract, the liver (both vagal afferents), the dorsal abdominal wall, and the skeletal muscle. Spinal cord warm sensitivity may be mediated by cutaneous afferent neurons with unmyelinated axons that are excited by spinal cord warming.

Spinal cord thermosensitivity: An afferent phenomenon?

We review the evidence for thermoregulatory temperature sensors in the mammalian spinal cord and reach the following conclusions. 1) Spinal cord temperature contributes physiologically to temperature regulation. 2) Parallel anterolateral ascending pathways transmit signals from spinal cooling and spinal warming: they overlap with the respective axon pathways of the dorsal horn neurons that are driven by peripheral cold- and warm-sensitive afferents. 3) We hypothesize that these ‘cold’ and ‘warm’ ascending pathways transmit all extracranial thermosensory information to the brain. 4) Cutaneous cold afferents can be activated not only by cooling the skin but also by cooling sites along their axons: we consider that this is functionally insignificant in vivo. 5) By a presynaptic action on their central terminals, local spinal cooling enhances neurotransmission from incoming ‘cold’ afferent action potentials to second order neurons in the dorsal horn; this effect disappears when the spinal cord is warm. 6) Spinal warm sensitivity is due to warm-sensitive miniature vesicular transmitter release from afferent terminals in the dorsal horn: this effect is powerful enough to excite second order neurons in the ‘warm’ pathway independently of any incoming sensory traffic. 7) Distinct but related presynaptic mechanisms at cold- and warm-sensitive afferent terminals can thus account for the thermoregulatory actions of spinal cord temperature.

The etiology and management of inadvertent perioperative hypothermia

Mild perioperative hypothermia is a frequent complication of anesthesia and surgery. Core temperature should be monitored during general anesthesia and during regional anesthesia for large operations. Reliable sites of core temperature monitoring include the tympanic membrane, nasopharynx, esophagus, bladder, rectum, and pulmonary artery. The skin surface is not an acceptable site for monitoring core temperature. Anesthetic-induced vasodilation initially rapidly decreases core temperature secondary to an internal redistribution of heat rather than an increased heat loss to the environment. Both general and regional anesthetics impair thermoregulation, increasing the interthreshold range; that is, the range of core temperatures over which no autonomic response to cold or warmth occurs. Preinduction skin surface warming is the only means to prevent this initial redistribution hypothermia. Forced-air warming is the most effective method of rewarming hypothermic patients intraoperatively.

Effects of spinal cord temperature on the generation and transmission of temperature signals in the goat

A series of 38 experiments were performed in five conscious goats at air temperatures of +20 degrees C or +30 degrees C to see whether a temperature dependence of spinal cord signal transmission affects the relationships between body temperature and metabolic rate (MR) or respiratory evaporative heat loss (REHL). Prior to the experiments the animals received peridural thermodes to clamp the spinal cord temperature by perfusion temperatures of 31 degrees C, 38 degrees C or 43 degrees C (45 degrees C), carotid loops to clamp the brain temperature at 39 degrees C or 39.5 degrees C, and arteriovenous shunts to alter the trunk temperature and to determine thresholds and slopes of MR and REHL over trunk temperature. The trunk temperature thresholds, at which MR and REHL increased, were inversely related to the spinal cord temperature, thereby confirming previous observations on the generation of specific spinal temperature signals. The slopes at which MR rose below the threshold, increased with decreasing spinal cord temperature. The slopes of REHL over trunk temperature were independent of spinal cord temperature. Both observations are at variance with previously observed temperature effects on hypothalamic signal transmission and imply that temperature-dependent signal transmission at the spinal level cannot account for nonlinear interaction of various body temperatures in the control of MR and REHL.

Repeated exposures to cold and the relationship between skin and core temperatures in control of metabolic rate in the goat (Capra hircus)

1. After 10-12 experiments in each of three goats, in which skin or core temperatures were lowered while the other temperatures remained sufficiently high to prevent metabolic rate from increasing, the core temperature threshold of shivering was lowered by 0.35 degrees C. 2. After 10-15 experiments, in which skin and core temperatures were simultaneously lowered to induce major increases of metabolic rate, no further change of threshold was observed, while the slope of metabolic rate over core temperature was reduced. 3. It is concluded that repeated cold exposures without manifest shivering can induce tolerance adaptation to cold.

Total calorimetry and temperature regulation in the nine-banded armadillo

Cold exposure in the nine-banded armadillo causes vigorous shivering and a rise in core temperature (Tc). The increase in metabolic rate and Tc depends upon exposure temperature, but may be as much as six times and 3 degrees C respectively (Johansen 1961). These findings might indicate an insensitivity to Tc, which is puzzling since internal temperature is thought to be the primary and regulated variable. It is suggested that positive feedback may play a role in temperature regulation in these animals. To investigate this problem two series of experiments were performed in the same species. Series 1. Measurements of changes in heat loss (direct calorimetry) and heat production (indirect calorimetry) following transferral from a thermoneutral to a cold environment. The difference between these measurements determines whether heat storage is positive due to the increased core temperature or negative due to reduction in the size of the core with the increased temperature. Series 2. Investigation of core thermosensitivity (body core cooling using colonic thermode) under different environmental conditions. The results of the first series showed that the rise in Tc was accompanied by positive heat storage in the body. The second series demonstrated core thermosensitivities similar to those previously reported for a variety of other homeothermic mammals.

Non-cutaneous peripheral thermosensitivity in the goat (Capra hircus)

1. A 0.2 m2 area of the trunk skin was denervated and its center was externally cooled or warmed, when central body temperature was lowered. 2. When the denervated skin was cooled, the central body temperature, at which shivering occurred, was significantly higher than with warming of the denervated skin. 3. It is concluded that the difference was caused by temperature signals originating from thermoreceptors in tissue layers underneath the denervated skin.

The metabolic response to skin temperature

Experiments were done to assess that fraction of the metabolic response to external cold exposure, which is attributable to skin temperature. In 5 conscious and closely clipped goats the metabolic rate was determined at various stable levels of skin temperature in the range from 13 to 41 degrees C, while core temperature was kept constant at 38.8 degrees C. Skin temperature was manipulated by a rapidly circulating shower bath, while core temperature was controlled by means of heat exchangers acting on arterial blood temperature in a chronic arteriovenous shunt. The metabolic response to skin temperature fell into two clearly discernible sections: a first zone with skin temperatures above 25-30 degrees C, within which the metabolic rate rose at a rate of -0.34 +/- 0.07 W/kg.degrees C with decreasing skin temperature, and a second zone with skin temperatures below 25-30 degrees C, within which the metabolic rate either plateaued or even grew smaller with further decreasing skin temperature. It is concluded that the relationship between skin temperature and metabolic rate does not directly reproduce the temperature-response curve of cutaneous cold receptors but also reflects a complex interaction of several factors, including an unspecific temperature effect on muscle metabolism.

Thermosensitivity of the goat's brain

1. Experiments were done in conscious goats to estimate the gain of brain temperature sensors and to evaluate that fraction of the thermosensitivity of the entire brain which can be determined by a thermode located in the hypothalamus. 2. The animals were implanted with local thermodes, carotid loops and intravascular heat exchangers permitting independent control of hypothalamic temperature, extrahypothalamic brain temperature and trunk core temperature. 3. Small and slow ramp-like displacements of hypothalamic temperature generated continuously increasing thermoregulatory responses without any dead band, if a negative feed-back from extrahypothalamic sources was suppressed. 4. The hypothalamic sensitivity determined by the metabolic response to slow ramp-like cooling of the thermode amounted to -1.4 W/(kg degrees C) and equalled approximately 30% of what had been found for total body core sensitivity in another series of experiments. 5. Total brain thermosensitivity was -1.6 W/(kg degrees C), which implies that a large thermode centred in the hypothalamus can detect approximately 85% of the thermosensitivity of the entire brain.

Effects of skin temperature on cold defense after cutaneous denervation of the trunk

In intact goats the core temperature threshold below which heat production increases with falling core temperature, is inversely related to the temperature of the water bath in which they stand and is therefore assumed to be indicative of the central integration of signals from skin and core temperature receptors. The present study shows that a difference in core temperature thresholds for bath temperatures of 35 degrees C and 40 degrees C persisted after denervation of about two-thirds of the skin of the trunk and limbs. Also, for a given combination of skin and core temperatures, heat production was as great or greater after cutaneous denervation as before. It is concluded that, following denervation of the trunk and upper limbs, intact temperature receptors in the non-denervated skin of the legs and tail, and/or also in tissues between the skin and core, provide important and significant inputs to the temperature regulating system. But these inputs cannot explain fully the thermoregulatory responses observed unless it is assumed that the thermosensitivity of these tissues increased.